BioMed Research International / 2018 / Article / Tab 2

Review Article

The Effectiveness of Physical Exercise on Bone Density in Osteoporotic Patients

Table 2

Systematic reviews and meta-analyses on Whole Body Vibration.

Authors/Title/SourceMain conclusions

Slatkovska L, Alibhai SM, Beyene J, Cheung AM. Effect of whole-body vibration on BMD: a systematic review and meta-analysis. Osteoporos Int. 2010;21(12):1969-80.[29]We found significant but small improvements in BMD in postmenopausal women and children and adolescents, but not in young adults.

Ma C, Liu A, Sun M, Zhu H, Wu H.Effect of whole-body vibration on reduction of bone loss and fall prevention in postmenopausal women: a meta-analysis and systematic review. J Orthop Surg Res. 2016; 17;11:24. [30]Low-magnitude whole-body vibration therapy can provide a significant improvement in reducing bone loss in the lumbar spine in postmenopausal women.

Merriman H, Jackson K. The effects of whole-body vibration training in aging adults: a systematic review. J Geriatr Phys Ther. 2009;32(3):134-45. [31]Some but not all of the studies in this review reported similar improvements in muscle performance, balance, and functional mobility with WBV as compared to traditional exercise programs. Bone studies consistently showed that WBV improved bone density in the hip and tibia but not in the lumbar spine.

Oliveira LC, Oliveira RG, Pires-Oliveira DA. Effects of whole body vibration on bone mineral density in postmenopausal women: a systematic review and meta-analysis. Osteoporos Int. 2016;27(10):2913-33. [32]Despite WBV presenting potential to act as a coadjutant in the prevention or treatment of osteoporosis, especially for BMD of the lumbar spine, the ideal intervention is not yet clear. Our subgroup analyses helped to demonstrate the various factors which appear to influence the effects of WBV on BMD, contributing to clinical practice and the definition of protocols for future interventions.

Fratini A, Bonci T, Bull AM. Whole Body Vibration Treatments in Postmenopausal Women Can Improve Bone Mineral Density: Results of a Stimulus Focussed Meta-Analysis. PLoS One. 2016;11(12):e0166774. [33]Whole body vibration treatments in elderly women can reduce BMD decline. However, many factors (e.g., amplitude, frequency and subject posture) affect the capacity of the vibrations to propagate to the target site; the adequate level of stimulation required to produce these effects has not yet been defined.

Lau RW, Liao LR, Yu F, Teo T, Chung RC, Pang MY. The effects of whole body vibration therapy on bone mineral density and leg muscle strength in older adults: a systematic review and meta-analysis. Clin Rehab. 2011;25(11):975-88.[34]Whole body vibration is beneficial for enhancing leg muscle strength among older adults. However, the review suggests that whole body vibration has no overall treatment effect on bone mineral density in older women.

Jepsen DB, Thomsen K, Hansen S, Jørgensen NR, Masud T, Ryg J. Effect of whole-body vibration exercise in preventing falls and fractures: a systematic review and meta-analysis. BMJ Open. 2017; 29;7(12):e018342. [35]Whole body vibration reduces fall rate but seems to have no overall effect on BMD or microarchitecture.

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